الفهرس 
Eating Disorder OverviewOnly 14 pages are availabe for public view
 |  | from | 285 |  |  |
| | | from | 285 | | |
Abstract
Eating disorders are a group of mental illnesses, characterized by eating, exercise and body weight or shape becoming an unhealthy preoccupation of someone’s life. Eating disorders are usually under diagnosed and undertreated and among mental health cases, they have the highest mortality and morbidity rates.
Personality profile has commonly been shown to be an important risk factor for Eating Disorders (EDs) (Lilenfeld et al., 2006) and an important predictor of outcome Moreover, the coexisting personality traits shape the ingrained cognitive schemes and behavioral patterns plus the difficult response to treatment and poorer prognosis added.
Therefore, screening of such potential association is needed to remodel the guidelines of treatment suitable for these cases, (Klump et al., 2004; Wagner et al., 2006).
The aim of this study was to find the association of personality disorder with patients having eating disorder thus determining the important role personality plays in shaping the nature of eating disorders. The study hypothesizes that there is
possibly a high rate of concomitant personality disorders in patients with eating disorders, which is expected to positively correlate with the presentation of eating disorders clinical profile.
The current study recruited fifty patients with different eating disorders (anorexia, bulimia, binge eating disorders) by convenient sampling, with the inclusion criteria of: age between 16-55, both females and males, Egyptian nationality only and must have an eating disorder. Moreover, we had to exclude the Presence of any other Axis-I psychiatric disorders, Presence of any general medical disease that may affect the body weight or appetite and Intake of medications or substance abuse that may affect the body weight or appetite. Firstly, the Arabic version of SCID-I was used, validated by (El Missiry et al., 2004), to confirm the presence of eating disorders according to DSM-IV. Secondly, SCID–II validated by (Hatata et al., 2004) was used to diagnose the presence of personality disorders in our study sample. Lastly but not least, we used EDI-II specifically validated by (El Bheary, 2005) to assess the depth of the eating disorder symptomatology.In the study pool, female patients were more numerous; comprising 88% (n=44) and males were only 12% (n=6).On assessing the body mass index in the study’s participants; data revealed that 44% of patients were underweight (<18.5), while 36% were considered obese (>30.0). On the other hand, only 8% had average body weight, which coincides with many researches in this aspect.
Most of the patients in the current research were diagnosed with anorexia nervosa 44%, followed by binge eating disorder in 34% of the sample, while 22% had bulimia nervosa.
In the current study there was a statistically significant comorbidity (P= 0.05) between personality disorder and eating disorders in 66% of the sample.
Moreover, when categorizing personality into clusters and associating them with eating disorders, the current study showed the 28% of the co-morbid personality was mixed (Clusters B and
C) which are most commonly associated with binge eating disorder 16%, followed by bulimia nervosa 10 %, then anorexia nervosa with only 2%.
Regarding anorexia nervosa, the current study revealed that 27% of patients fulfilled the criteria of obsessive personality disorder, followed by borderline personality disorder comprising 14%, and the least being the narcissistic personality disorder.
As for bulimia nervosa, the study demonstrated that 55% of the bulimic patients fulfilled the criteria of borderline personality disorder making it the most common associated personality disorder, followed by obsessive personality 18% and then comes narcissistic and avoidant personality disorders with 9% in bulimic patients.
Regarding binge eating disorder, the current study showed similar finding on the link between anorexia nervosa and obsessive compulsive personality disorder being the most common comprising 47%, the 2nd most common was borderline personality (24%), and lastly avoidant personality disorder comprising 6%.
As regarding the EDI relation of eating disorders with comorbid personality disorders; in the current study, data showed that the highest mean scoring in patients with eating disorders was in the drive for thinness, the second highest domain was the impulse regulation while the lowest mean scored was found in the
ineffectiveness domain. The mean rank of the total EDI-2 scores had a statistically significant association with the highest scored mean demonstrated in the no personality group.
This significant presence of EDI components among the patients with no comorbid personality disorders rather than patients with comorbid personalities, can be explained by the idea that the presence of personality disorders may color and even disrupt the symptomatology of eating disorders that can affect the presence of the EDI dimensions in patients suffering from comorbid eating and personality disorders.